HomeMy WebLinkAbout12-19-78
MMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
REAU OF COUNTV COLLECTIONS
APPLlCA1ION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer af the following securities of a Pennsylvania
Corporotion or a National Banking Association located in Pennsylvania: Certificate Nos. P0319040,
P0354450, P0374230
(a) 23 shares (b) PPG Industries, Inc. (c) Canmm stock
(NOTE: In describing securities enter in (a), ab CNe, either the number of shares of stock ar the face amount of
registered bonds, in (b), the name of the issuing compony and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
DA TE fucember 19. 1978
ISSUEDON2/3/77; 7/22/77;
2 /3 /7 fuol.)
as of the date of death of the decedent,
,and having a TOTAL MARKET VA'LUE OF $621.00
James C. Thrush
, on
January 1. 1978
(Oat. of death)
(Nome of Decedent)
(County)
Penna.
(State)
(Street and Number)
Newburg
(Post Office)
Clllnberland
who wos late of
R. D. #1
The securities ore registered as follows:
Janes C. Thrush
(Nome or names in which certificates are registered)
ADMINISTRATOR)
~)
Martha E. Finkey
(Name)
R. D. # 1. Newb~Penna.
(Address)
NAME OF APPLICANT _Martha E. Finkey
ADDRESS OF APPLICANT R. D. # 1. Newburg,
17240
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL 1'1
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COUNTY FILE NUMBER 21-78-89
COMMONWEALTH OF PENNSYL VANIA - DEP ARTMENT OF REVENUE
. CONSENT TO TRANSFER SECURITIES DATE \\1\. ~,,_ '71-
I hereby consent to the transfer of the above securities now registered in the name of th~aid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of Aptil 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue
By c;J;(LoI;.fJ.1~ f... {';\h1~~'h~~ ~
(Signature) , \J
-,~..- -.1.I!. ,'.r:~rnwt
"i/ Of-' WiLLS
~Titler :., <J V"~IHI (County)